Application Form
All applicants will be assessed on their completion of this form only. CVs or additional materials should not be included.
Section 1: Applicant Details
Full Name
*
First Name
Middle Name
Last Name
Former Name(s)
First Name
Last Name
Current Address
*
Street Address
Street Address Line 2
City
Town
Post Code
Email Address
*
example@example.com
Phone Number
*
National Insurance Number
*
Please disclose if you are a relative or friend of anyone currently working at Ambition Aspire Achieve:
Position Applied
*
Please Select
One to One Support Worker
Playworker
Youth Worker
Deputy Chief Executive/Finance Officer
How did you hear about this position?
*
Please Select
Charity Job
Social Media
Charity Website
Family / Friend
Other
Do you have the legal right to live and work in the UK?
*
Please Select
Yes
No
Is this subject to having a work permit?
*
Please Select
Yes
No
Do you hold a current UK driving licence?
*
Please Select
Yes
No
Do you hold a minibus driver’s licence?
*
Please Select
Yes
No
Because of the sensitive nature of the duties you will be asked to undertake in this post working with children and young people you are required to disclose details of any criminal record. This post is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1974 (exceptions) Order 1975. This means that you are not entitled to withhold information about convictions which for other purposes are ‘spent’ under provisions of the Act.
Have you ever been convicted or cautioned with respect to a criminal offence?
*
Please Select
Yes
No
If yes please give details including the nature of the offence(s) and dates (all convictions, whether spent or unspent, cautions, reprimands and final warnings should be disclosed). Please note: The disclosure of an offence may not prohibit your appointment.
If offered the post, do you agree to co-operate in obtaining a Criminal Records Bureau Disclosure at the Enhanced level (or its Disclosure and Baring Service replacement)?
Please Select
Yes
No
Applicant Declaration
I certify that, to the best of my knowledge, the information contained in support of my application is complete and correct. I understand that providing false information is an offence and could result in the application being rejected.
I give my consent to Ambition Aspire Achieve to process and retain the data supplied in my application for 12 months following the end of the recruitment campaign.
*
Please Select
Yes
No
I give my consent to Ambition Aspire Achieve to contact if any further suitable vacancies arise during this period of 12 months.
*
Please Select
Yes
No
I give my consent for Ambition Aspire Achieve to contact the referees included in this application.
*
Please Select
Yes
No
Signature
Date
-
Month
-
Day
Year
Date
Section 2: Application Form
Employment History
Current or Most Recent Post
Job Title
*
Salary
*
Organisation
*
Notice Required (if applicable)
Address
*
Reason for Leaving (if applicable)
Start Date
*
/
Day
/
Month
Year
Date
End Date
*
/
Day
/
Month
Year
Date
Main Areas of Responsibility
*
Previous Employment
Please provide a summary of your previous employment in chronological order – include any relevant freelance, unpaid or voluntary work. Please explain any breaks in employment.
Please include Name of employer, nature of business, job title, main areas of responsibility and dates to and from
Qualifications and Training
Starting with the most recent, please provide your education and training details. Please also include details of any professional courses, qualifications or memberships if applicable.
Please include name of academic institution, qualifications and grades obtained
*
Skills and Interests
Please provide additional information on your skills and interests
*
Supporting Statement
Please outline why you have applied for this role and demonstrate how you meet the requirements as set out in the person specification.
*
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Referees
Please provide contact details (name, occupation, address, telephone and email address) of two referees including your present or most recent employer. Please note any offer of employment will be subject to satisfactory references.
Referee One
*
Prefix
First Name
Last Name
Occupation
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal Code
Contact Number
*
Please enter a valid phone number.
Email
*
example@example.com
In what capacity do you know the referee?
*
Can references be taken up now?
*
Please Select
Yes
No
Referee Two
*
Prefix
First Name
Last Name
Occupation
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal Code
Contact Number
*
Please enter a valid phone number.
Email
*
example@example.com
In what capacity do you know the referee?
*
Can references be taken up now?
*
Please Select
Yes
No
Section 3: Equal Opportunities
Please note that this form is for monitoring purposes only and will not affect your application.
Equal Opportunities Recruitment Monitoring
Gender
*
Please Select
Male
Female
Transgender
Intersex
Non Binary
Agender
Gender Fluid
Gender Neutral
Genderqueer
Neutrois
Questioning
Other
Prefer to self describe
Prefer not to say
Age
*
Ethnicity
*
Please Select
White British
White English
White Northern Irish
White Scottish
White Welsh
White Irish
White Eastern European
Other White Background
White and Black Caribbean
White and Black African
White and Black British
White and Asian
Other Mixed Background
Indian
Pakistani
Bangladeshi
Chinese
Other Asian Background
Black Caribbean
Black African
Black British
Other Black Background
Arab
Gypsy/Romany/Irish Traveller
Other ethnic group
Prefer not to say
Religion: Please indicate if you are a member or a follower of any of these religious groups
*
Please Select
No Religion
Christian (including Church of England, Catholic, Protestant and all other Christian denominations)
Buddhist
Hindu
Sikh
Muslim
Jewish
Other
If Other, please provide further details
Do you consider yourself disabled?
Please Select
Yes
No
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